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. Author manuscript; available in PMC: 2013 May 10.
Published in final edited form as: Cogn Behav Pract. 2013 May;20(2):202–212. doi: 10.1016/j.cbpra.2012.05.005

Table 3.

Comparison Between Original and Chinese Life-Steps Program

Culturally Adapted Chinese Life-Steps Program Safren et al.’s (1999) Original Life-Steps Program

  • Motivation and engagement

  • Interactive psychoeducation

    • Balance views of ART within Chinese cultural framework

  • Getting to appointment

  • Coping with side effects

    • Reconceptualize side effects as evidence of effectiveness and solve the conflicts between cultural beliefs and adherence

  • Communication with health-care providers

    • View health-care providers as working partners, rather than formal authority figures and maintain harmonious relationships with healthcare providers

  • Introduction of patients’ HAART regimens

  • Medication scheduling, sorting, and storing

  • Reminder strategies

  • Handling slips

  • Problem-solving for additional barriers to adherence

  • Review

  • Utilization of treatment partners

  • Psychoeducation and introduction

    • Foster the perspective that the ART regimens are “health-protecting tools”

  • Getting to appointment

  • Coping with side effects

    • Reinterpret side effects as evidence of effectiveness

  • Communication with treatment team

    • Increase confidence in ability to discuss with treatment team

  • Obtaining medications

  • Concrete daily medication schedule

  • Storing of medications

  • Cue-control strategies

  • Guided imagery

  • Handling slips

  • Review